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Lakeshore Medical Care Center, Inc

Preferred Provider Organization in Jacksonville, FL · enumerated 2006 · authorized official Tracy Teagle, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124195573

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeshore Medical Care Center, Inc
Practice address 4616 San Juan Ave, Jacksonville, FL, 32210
Phone (904) 384-5385
Fax (904) 388-5838
Enumeration date Nov 29, 2006
Last updated in NPPES Dec 27, 2010

Taxonomy & classification

305R00000X Preferred Provider Organization Managed Care Organizations · License 0042816 (FL) Primary
305R00000X Preferred Provider Organization Managed Care Organizations · License ME0018387 (FL) Secondary

Authorized official

Name Tracy Teagle
Title Office Manager
Phone (904) 384-5385

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lakeshore Medical Care Center, Inc?
NPPES lists Tracy Teagle (Office Manager) as the authorized official for this organization.
What is the NPI number for Lakeshore Medical Care Center, Inc?
The NPI for Lakeshore Medical Care Center, Inc is 1124195573, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-27.